Organization
CLEAR LAKE PEDIATRIC NEPHROLOGY, P.A.
Active
Organization
CLEAR LAKE PEDIATRIC NEPHROLOGY, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NASREEN AZAM M.D. (PRESIDENT/OWNER)
(281) 557-7308
Entity
Organization
Contact information
Practice address
400 MEDICAL CENTER BLVD, SUITE 118, WEBSTER, TX 77598-4235
(281) 338-0700
Mailing address
2803 HARVEST HILL CT, AUTUMN CREEK, FRIENDSWOOD, TX 77546-5099
(281) 557-7308
Taxonomy
Speciality
Code
Description
License number
State
2080P0210X
Pediatric Nephrology Physician
Primary
—
—
Other
Enumeration date
04/03/2012
Last updated
05/11/2012
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